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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SANFORD USD MEDICAL CENTER

Sioux Falls, SD · CCN 430027 · Rates published

20,438 distinct procedures filed
15 distinct payers
618,261 rate rows
2026-03-04 last MRF observed
Data quality

611,539 of 618,261 rate rows are consumer-grade (98.9%)

6,722 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 6,351
placeholder amount (≤ $0.02) — excluded from medians 123
percent-of-charges filed in the dollar field — excluded from medians 112
per-diem day rate — not a per-procedure price 105
exceeds 10× this hospital's gross charge — excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8368/460227855_sanford-usd-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordUSDMedicalCenter/8368
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 2c94d6436b2e6081… · 1,007,368,312 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 9 $4,279,750.00 $4,730,250.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
0714
OTHER 		Inj Delandistrogene Mox Rokl 1 $4,026,665.83 $4,737,297.78 $4,591,517.56 nat. median
$3,316,463
1.4× median
0748
OTHER 		Inj, Lovotibeglogene Autotem 1 $3,950,098.58 $4,647,217.83 $4,504,209.63 nat. median
$3,248,446
1.4× median
0773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $4,493,489.89 $4,493,489.89 $4,493,489.89 nat. median
$3,635,800
1.2× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 1 $4,463,533.29 $4,463,533.29 $4,463,533.29 nat. median
$3,746,358
1.2× median
0746
OTHER 		Inj, Betibeglogene Autotemce 1 $3,573,822.29 $4,794,216.42 $4,139,842.95 nat. median
$2,945,740
1.4× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,501,003.33 $3,869,530.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Pharmacy 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,570,000
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 1 $2,969,961.36 $3,984,148.16 $3,440,342.74 nat. median
$2,588,981
1.3× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,150,639.46 $3,482,285.72 $3,392,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,086,023.43 $3,410,868.00 $3,329,656.86 nat. median
$3,286,000
1.0× median
0824
OTHER 		Inj, Exagamglogene Autotem 1 $2,824,479.36 $3,788,986.76 $3,271,819.35 nat. median
$17,829
outlier · 183.5×
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,798,453.00 $3,093,027.00 $3,019,383.50 nat. median
$3,006,423
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,215,400.00 $2,448,600.00 $2,390,300.00 nat. median
$2,448,600
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2x8.3 Ml Susp Kit 15 $783,062.50 $2,577,866.14 $1,694,687.50 nat. median
$2,469,189
0.7× median
2067
OTHER 		Afamitresgene Autoleucel 1 $933,362.04 $1,252,087.90 $1,081,187.58 nat. median
$786,032
1.4× median
9194
OTHER 		Tisagenlecleucel Car-pos T 1 $700,457.05 $939,650.16 $811,395.18 nat. median
$566,531
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $732,089.00 $843,320.00 $793,738.60 nat. median
$824,563
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 1 $670,243.17 $899,118.81 $776,396.04 nat. median
$587,650
1.3× median
9413
OTHER 		Lisocabtagene Car Pos T 1 $656,020.04 $880,038.74 $759,920.25 nat. median
$562,201
1.4× median
9422
OTHER 		Idecabtagene Vicleucel Car 1 $655,565.59 $879,429.10 $759,393.83 nat. median
$558,082
1.4× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 1 $645,653.30 $866,131.95 $747,911.64 nat. median
$532,192
1.4× median
9391
OTHER 		Brexucabtagene Car Pos T 1 $593,140.67 $795,687.22 $687,082.06 nat. median
$489,450
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $225,210.14 $647,549.43 $609,477.99 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $230,973.10 $655,427.41 $582,845.01 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $220,021.60 $624,350.59 $579,414.33 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $224,666.50 $637,531.32 $574,037.47 nat. median
$625,184
0.9× median
5834
APR_DRG 		Neonate With Ecmo 4 $182,097.58 $922,176.00 $573,261.18 nat. median
$309,665
1.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $208,814.35 $592,548.01 $549,227.08 nat. median
$634,511
0.9× median
C9301
HCPCS 		Pharmacy 1 $535,500.00 $535,500.00 $535,500.00 nat. median
$459,112
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $208,859.96 $592,677.44 $503,983.75 nat. median
$620,080
0.8× median
C9098
HCPCS 		Pharmacy 2 $208,814.35 $592,548.01 $474,300.00 nat. median
$57,174
outlier · 8.3×
C9081
HCPCS 		Pharmacy 2 $208,814.35 $592,548.01 $427,890.00 nat. median
$30,475
outlier · 14.0×
C9076
HCPCS 		Pharmacy 2 $208,814.35 $592,548.01 $418,506.00 nat. median
$30,475
outlier · 13.7×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $390,412.00 $390,412.00 $390,412.00 nat. median
$164,834
outlier · 2.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $115,092.49 $623,404.00 $389,988.43 nat. median
$246,434
1.6× median
C9073
HCPCS 		Pharmacy 2 $208,814.35 $592,548.01 $380,460.00 nat. median
$29,278
outlier · 13.0×
0831
OTHER 		Obecbtge Autol Up To 400 Mil 1 $327,473.67 $439,299.87 $379,338.83 nat. median
$1,043
outlier · 363.7×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $289,350.36 $751,553.45 $360,601.34 nat. median
$370,174
1.0× median
5833
APR_DRG 		Neonate With Ecmo 4 $109,945.81 $675,764.00 $352,419.74 nat. median
$244,017
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $79,190.61 $560,212.00 $345,585.93 nat. median
$164,279
outlier · 2.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $334,815.00 $334,815.00 $334,815.00 nat. median
$187,294
1.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $324,591.00 $324,591.00 $324,591.00 nat. median
$129,535
outlier · 2.5×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $61,127.11 $528,890.00 $320,904.95 nat. median
$89,790
outlier · 3.6×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $313,304.00 $313,304.00 $313,304.00 nat. median
$105,658
outlier · 3.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $69,902.28 $551,456.00 $306,857.17 nat. median
$151,838
outlier · 2.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $80,933.59 $479,208.00 $305,320.47 nat. median
$162,982
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 1 $302,786.00 $302,786.00 $302,786.00 nat. median
$234,738
1.3× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $61,127.11 $613,612.00 $294,963.76 nat. median
$93,260
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 20,438 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2x8.3 Ml Susp Kit 62 15 $2,337,500.00 $1,870,000.00 20% off $783,062.50 $2,577,866.14 $1,694,687.50 2026-03-04
J1823 HCPCS Inebilizumab-cdon IV Soln 100 Mg/10ml (10 Mg/ml) 50 15 $163,900.01 $131,120.01 $470.77 $147,510.01 $118,827.51 2026-03-04
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 9 — — $4,279,750.00 $4,730,250.00 $4,617,625.00 2026-03-04
0714 OTHER Inj Delandistrogene Mox Rokl 3 1 — — $4,026,665.83 $4,737,297.78 $4,591,517.56 2026-03-04
0748 OTHER Inj, Lovotibeglogene Autotem 3 1 — — $3,950,098.58 $4,647,217.83 $4,504,209.63 2026-03-04
0773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $4,493,489.89 $4,493,489.89 $4,493,489.89 2026-03-04
9138 OTHER Inj, Hemgenix, Per Tx Dose 1 1 — — $4,463,533.29 $4,463,533.29 $4,463,533.29 2026-03-04
0746 OTHER Inj, Betibeglogene Autotemce 4 1 — — $3,573,822.29 $4,794,216.42 $4,139,842.95 2026-03-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 9 — — $3,501,003.33 $3,869,530.00 $3,710,000.00 2026-03-04
C9172 HCPCS Pharmacy 4 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-03-04
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-03-04
9141 OTHER Inj Onase Abepar-xioi Treat 4 1 — — $2,969,961.36 $3,984,148.16 $3,440,342.74 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 9 — — $3,150,639.46 $3,482,285.72 $3,392,000.00 2026-03-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 9 — — $3,086,023.43 $3,410,868.00 $3,329,656.86 2026-03-04
0824 OTHER Inj, Exagamglogene Autotem 4 1 — — $2,824,479.36 $3,788,986.76 $3,271,819.35 2026-03-04
J3393 HCPCS Inj, Betibeglogene Autotemce 12 9 — — $2,798,453.00 $3,093,027.00 $3,019,383.50 2026-03-04
J3392 HCPCS Inj, Exagamglogene Autotem 12 9 — — $2,215,400.00 $2,448,600.00 $2,390,300.00 2026-03-04
2067 OTHER Afamitresgene Autoleucel 4 1 — — $933,362.04 $1,252,087.90 $1,081,187.58 2026-03-04
9194 OTHER Tisagenlecleucel Car-pos T 4 1 — — $700,457.05 $939,650.16 $811,395.18 2026-03-04
Q2057 HCPCS Afamitresgene Autoleucel 12 9 — — $732,089.00 $843,320.00 $793,738.60 2026-03-04
9498 OTHER Ciltacabtagene Car-pos T 4 1 — — $670,243.17 $899,118.81 $776,396.04 2026-03-04
9413 OTHER Lisocabtagene Car Pos T 4 1 — — $656,020.04 $880,038.74 $759,920.25 2026-03-04
9422 OTHER Idecabtagene Vicleucel Car 4 1 — — $655,565.59 $879,429.10 $759,393.83 2026-03-04
9035 OTHER Axicabtagene Ciloleucel Car+ 4 1 — — $645,653.30 $866,131.95 $747,911.64 2026-03-04
9391 OTHER Brexucabtagene Car Pos T 4 1 — — $593,140.67 $795,687.22 $687,082.06 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 9 — — $225,210.14 $647,549.43 $609,477.99 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 15 9 — — $230,973.10 $655,427.41 $582,845.01 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 9 — — $220,021.60 $624,350.59 $579,414.33 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 15 9 — — $224,666.50 $637,531.32 $574,037.47 2026-03-04
5834 APR_DRG Neonate With Ecmo 6 4 — — $182,097.58 $922,176.00 $573,261.18 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 9 — — $208,814.35 $592,548.01 $549,227.08 2026-03-04
C9301 HCPCS Pharmacy 4 1 — — $535,500.00 $535,500.00 $535,500.00 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 15 9 — — $208,859.96 $592,677.44 $503,983.75 2026-03-04
C9098 HCPCS Pharmacy 7 2 — — $208,814.35 $592,548.01 $474,300.00 2026-03-04
C9081 HCPCS Pharmacy 7 2 — — $208,814.35 $592,548.01 $427,890.00 2026-03-04
C9076 HCPCS Pharmacy 7 2 — — $208,814.35 $592,548.01 $418,506.00 2026-03-04
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $390,412.00 $390,412.00 $390,412.00 2026-03-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $115,092.49 $623,404.00 $389,988.43 2026-03-04
C9073 HCPCS Pharmacy 7 2 — — $208,814.35 $592,548.01 $380,460.00 2026-03-04
0831 OTHER Obecbtge Autol Up To 400 Mil 4 1 — — $327,473.67 $439,299.87 $379,338.83 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 10 — — $289,350.36 $751,553.45 $360,601.34 2026-03-04
5833 APR_DRG Neonate With Ecmo 6 4 — — $109,945.81 $675,764.00 $352,419.74 2026-03-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $79,190.61 $560,212.00 $345,585.93 2026-03-04
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $334,815.00 $334,815.00 $334,815.00 2026-03-04
14 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $324,591.00 $324,591.00 $324,591.00 2026-03-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $61,127.11 $528,890.00 $320,904.95 2026-03-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $313,304.00 $313,304.00 $313,304.00 2026-03-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $69,902.28 $551,456.00 $306,857.17 2026-03-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $80,933.59 $479,208.00 $305,320.47 2026-03-04
24 APR_DRG Heart And/or Lung Transplant 1 1 — — $302,786.00 $302,786.00 $302,786.00 2026-03-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $61,127.11 $613,612.00 $294,963.76 2026-03-04
1614 APR_DRG Implantable Heart Assist Systems 6 4 — — $77,875.22 $620,723.00 $289,696.40 2026-03-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $66,622.12 $588,897.00 $288,977.25 2026-03-04
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 9 — — $264,337.50 $535,500.00 $286,597.50 2026-03-04
0024 APR_DRG — 5 3 — — $93,658.59 $683,652.00 $274,712.80 2026-03-04
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $61,127.11 $581,779.00 $272,436.13 2026-03-04
J3403 HCPCS Revakinagene, Per Implant 12 9 — — $244,625.00 $270,375.00 $263,937.50 2026-03-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $74,503.48 $412,003.00 $258,991.85 2026-03-04
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $253,215.00 $253,215.00 $253,215.00 2026-03-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $51,055.87 $418,049.00 $244,684.18 2026-03-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $49,936.95 $428,720.00 $241,423.11 2026-03-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 10 — — $212,224.83 $511,001.00 $234,564.29 2026-03-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $230,861.00 $230,861.00 $230,861.00 2026-03-04
5832 APR_DRG Neonate With Ecmo 6 4 — — $68,993.49 $424,058.00 $227,503.85 2026-03-04
1613 APR_DRG Implantable Heart Assist Systems 6 4 — — $62,664.29 $456,671.00 $226,219.27 2026-03-04
64 APR_DRG Pancreas Transplant 1 1 — — $224,604.00 $224,604.00 $224,604.00 2026-03-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $38,003.85 $363,299.00 $219,148.10 2026-03-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $71,854.05 $343,056.00 $218,313.87 2026-03-04
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 4 1 — — $184,706.05 $247,779.75 $213,959.73 2026-03-04
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 4 1 — — $184,706.05 $247,779.75 $213,959.73 2026-03-04
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 12 9 — — $195,358.00 $225,040.00 $211,809.20 2026-03-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $209,400.00 $209,400.00 $209,400.00 2026-03-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $36,926.56 $326,365.00 $208,277.86 2026-03-04
13 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $205,721.00 $205,721.00 $205,721.00 2026-03-04
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 4 1 — — $166,538.30 $223,408.05 $192,914.58 2026-03-04
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 4 1 — — $166,538.30 $223,408.05 $192,914.58 2026-03-04
23 APR_DRG Heart And/or Lung Transplant 1 1 — — $191,635.00 $191,635.00 $191,635.00 2026-03-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $60,170.37 $291,885.00 $190,811.46 2026-03-04
5831 APR_DRG Neonate With Ecmo 6 4 — — $58,213.27 $343,409.00 $186,139.52 2026-03-04
1612 APR_DRG Implantable Heart Assist Systems 6 4 — — $42,353.30 $324,403.00 $181,634.04 2026-03-04
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $180,982.00 $180,982.00 $180,982.00 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 17 10 — — $154,310.94 $430,355.00 $179,078.99 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 17 10 — — $161,081.29 $388,791.00 $178,037.21 2026-03-04
63 APR_DRG Pancreas Transplant 1 1 — — $177,816.00 $177,816.00 $177,816.00 2026-03-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $38,826.72 $340,500.00 $172,827.77 2026-03-04
1611 APR_DRG Implantable Heart Assist Systems 6 4 — — $42,353.30 $308,552.00 $172,552.41 2026-03-04
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 4 1 — — $148,370.55 $199,036.35 $171,869.42 2026-03-04
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 4 1 — — $148,370.55 $199,036.35 $171,869.42 2026-03-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $35,589.19 $329,644.00 $166,656.68 2026-03-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $163,478.00 $163,478.00 $163,478.00 2026-03-04
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $162,521.00 $162,521.00 $162,521.00 2026-03-04
204 APR_DRG Open Craniotomy For Trauma 1 1 — — $161,272.00 $161,272.00 $161,272.00 2026-03-04
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $19,247.35 $309,547.00 $157,116.83 2026-03-04
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $156,043.00 $156,043.00 $156,043.00 2026-03-04
12 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $154,090.00 $154,090.00 $154,090.00 2026-03-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $32,025.64 $330,598.00 $154,020.29 2026-03-04
234 APR_DRG Spinal Procedures 1 1 — — $153,498.00 $153,498.00 $153,498.00 2026-03-04
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $151,179.00 $151,179.00 $151,179.00 2026-03-04
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 4 1 — — $130,202.80 $174,664.65 $150,824.27 2026-03-04
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 4 1 — — $130,202.80 $174,664.65 $150,824.27 2026-03-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 4 — — $69,076.41 $302,590.00 $147,326.58 2026-03-04
62 APR_DRG Pancreas Transplant 1 1 — — $146,063.00 $146,063.00 $146,063.00 2026-03-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $144,219.00 $144,219.00 $144,219.00 2026-03-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $47,791.03 $240,328.00 $143,702.60 2026-03-04
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $141,845.00 $141,845.00 $141,845.00 2026-03-04
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $140,050.00 $140,050.00 $140,050.00 2026-03-04
22 APR_DRG Heart And/or Lung Transplant 1 1 — — $137,924.00 $137,924.00 $137,924.00 2026-03-04
11 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $137,341.00 $137,341.00 $137,341.00 2026-03-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $23,469.60 $207,389.00 $135,574.20 2026-03-04
0054 APR_DRG — 5 3 — — $40,728.87 $335,931.00 $134,987.55 2026-03-04
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 4 1 — — $115,063.02 $154,354.91 $133,286.65 2026-03-04
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 4 1 — — $115,063.02 $154,354.91 $133,286.65 2026-03-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 4 — — $41,172.78 $239,399.00 $132,471.09 2026-03-04
0023 APR_DRG — 5 3 — — $50,647.26 $326,117.00 $131,044.30 2026-03-04
1784 APR_DRG External Heart Assist Systems 6 4 — — $25,501.96 $199,372.00 $130,333.78 2026-03-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $58,696.47 $233,268.00 $130,138.24 2026-03-04
0074 APR_DRG — 5 3 — — $57,695.77 $313,912.00 $126,139.61 2026-03-04
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 1 1 — — $125,443.00 $125,443.00 $125,443.00 2026-03-04
4404 APR_DRG Kidney Transplant 6 4 — — $29,609.65 $273,801.00 $124,703.89 2026-03-04
0044 APR_DRG — 5 3 — — $57,255.86 $305,155.00 $122,621.09 2026-03-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 4 — — $21,926.76 $320,261.00 $121,910.95 2026-03-04
0014 APR_DRG — 5 3 — — $53,099.89 $302,662.00 $121,619.11 2026-03-04
61 APR_DRG Pancreas Transplant 1 1 — — $121,336.00 $121,336.00 $121,336.00 2026-03-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $26,689.14 $254,228.00 $120,142.86 2026-03-04
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 4 1 — — $102,951.18 $138,107.11 $119,256.55 2026-03-04
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 4 1 — — $102,951.18 $138,107.11 $119,256.55 2026-03-04
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $119,231.00 $119,231.00 $119,231.00 2026-03-04
894 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $118,938.00 $118,938.00 $118,938.00 2026-03-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $48,857.66 $224,413.00 $117,975.70 2026-03-04
0094 APR_DRG — 5 3 — — $74,947.39 $292,815.00 $117,662.35 2026-03-04
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 17 10 — — $105,611.53 $256,332.00 $116,728.53 2026-03-04
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $116,356.00 $116,356.00 $116,356.00 2026-03-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $26,017.46 $190,073.00 $116,098.21 2026-03-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $24,853.92 $186,321.00 $115,329.32 2026-03-04
0064 APR_DRG — 5 3 — — $35,808.31 $284,650.00 $114,381.29 2026-03-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 9 — — $94,999.95 $125,739.91 $113,443.37 2026-03-04
21 APR_DRG Heart And/or Lung Transplant 1 1 — — $113,389.00 $113,389.00 $113,389.00 2026-03-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $28,512.04 $211,048.00 $112,048.04 2026-03-04
294 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $110,141.00 $110,141.00 $110,141.00 2026-03-04
274 APR_DRG Other Open Craniotomy 1 1 — — $109,773.00 $109,773.00 $109,773.00 2026-03-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $31,878.12 $172,873.00 $109,677.44 2026-03-04
7 MS_DRG Lung Transplant 17 10 — — $98,832.20 $237,081.00 $109,235.58 2026-03-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $109,080.00 $109,080.00 $109,080.00 2026-03-04
0114 APR_DRG — 5 3 — — $103,131.42 $271,159.00 $108,960.17 2026-03-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $108,207.00 $108,207.00 $108,207.00 2026-03-04
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $13,922.18 $244,263.00 $108,169.33 2026-03-04
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $1,274.43 $204,013.00 $107,250.54 2026-03-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $31,101.53 $176,249.00 $105,725.61 2026-03-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $105,336.00 $105,336.00 $105,336.00 2026-03-04
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 4 1 — — $90,839.35 $121,859.31 $105,226.45 2026-03-04
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 4 1 — — $90,839.35 $121,859.31 $105,226.45 2026-03-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 4 — — $35,627.48 $267,986.00 $104,795.93 2026-03-04
8634 APR_DRG Neonatal Aftercare 6 4 — — $30,555.40 $169,955.00 $102,751.27 2026-03-04
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 2 — — $43,612.25 $108,534.00 $101,858.04 2026-03-04
14 MS_DRG Allogeneic Bone Marrow Transplant 17 10 — — $91,818.93 $237,680.00 $101,484.08 2026-03-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 4 — — $17,576.97 $155,236.00 $101,480.82 2026-03-04
0013 APR_DRG — 5 3 — — $29,324.26 $252,068.00 $101,288.93 2026-03-04
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $221.12 $639,958.00 $101,195.01 2026-03-04
293 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $101,003.00 $101,003.00 $101,003.00 2026-03-04
4403 APR_DRG Kidney Transplant 6 4 — — $19,710.57 $171,093.00 $100,948.45 2026-03-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $15,113.02 $158,818.00 $100,817.46 2026-03-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $20,146.48 $188,807.00 $99,716.86 2026-03-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 4 — — $22,974.74 $170,221.00 $98,780.10 2026-03-04
1694 APR_DRG Major Abdominal Vascular Procedures 6 4 — — $19,138.12 $168,537.00 $97,594.26 2026-03-04
0022 APR_DRG — 5 3 — — $39,092.79 $242,015.00 $97,249.15 2026-03-04
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 1 1 — — $96,802.00 $96,802.00 $96,802.00 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 9 — — $88,555.87 $117,210.68 $96,013.20 2026-03-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $20,440.53 $149,672.00 $96,009.01 2026-03-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 10 — — $72,155.36 $199,908.00 $95,779.58 2026-03-04
209 MS_DRG Complex Aortic Arch Procedures 14 10 — — $86,559.92 $196,992.40 $94,760.34 2026-03-04
0043 APR_DRG — 5 3 — — $37,953.90 $235,620.00 $94,679.52 2026-03-04
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 4 — — $20,804.51 $159,806.00 $94,001.01 2026-03-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 4 — — $21,944.07 $160,856.00 $93,664.93 2026-03-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $18,459.12 $155,317.00 $93,240.74 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — — $80,425.32 $191,812.96 $93,197.12 2026-03-04
6904 APR_DRG Acute Leukemia 6 4 — — $17,357.85 $162,027.00 $93,043.05 2026-03-04
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $92,066.00 $92,066.00 $92,066.00 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 10 — — $83,214.65 $197,626.00 $91,974.09 2026-03-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $18,610.30 $167,117.00 $91,854.51 2026-03-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 4 — — $27,341.51 $141,714.00 $91,755.33 2026-03-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 4 — — $21,069.92 $180,878.00 $91,240.24 2026-03-04
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 4 1 — — $78,727.52 $105,611.51 $91,196.36 2026-03-04
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 4 1 — — $78,727.52 $105,611.51 $91,196.36 2026-03-04
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $91,105.00 $91,105.00 $91,105.00 2026-03-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $17,229.31 $150,176.00 $91,086.34 2026-03-04
264 APR_DRG Other Nervous System And Related Procedures 1 1 — — $90,609.00 $90,609.00 $90,609.00 2026-03-04
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $90,352.00 $90,352.00 $90,352.00 2026-03-04
0717 OTHER Instill Adstiladrin, Tx Dose 4 1 — — $76,826.63 $103,061.50 $88,994.40 2026-03-04
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $88,411.00 $88,411.00 $88,411.00 2026-03-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $18,610.30 $153,893.00 $87,898.02 2026-03-04
0073 APR_DRG — 5 3 — — $34,375.36 $218,069.00 $87,627.04 2026-03-04
1794 APR_DRG Defibrillator Implants 6 4 — — $21,175.48 $133,870.00 $87,447.14 2026-03-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 4 — — $18,159.41 $150,401.00 $87,377.05 2026-03-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 10 — — $78,974.93 $193,191.00 $87,288.09 2026-03-04
4402 APR_DRG Kidney Transplant 6 4 — — $17,013.18 $151,459.00 $86,579.29 2026-03-04
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $86,550.00 $86,550.00 $86,550.00 2026-03-04
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $13,707.05 $132,311.00 $86,494.49 2026-03-04
1783 APR_DRG External Heart Assist Systems 6 4 — — $20,679.63 $132,054.00 $85,660.61 2026-03-04
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 4 — — $16,740.45 $129,534.00 $84,679.11 2026-03-04
233 APR_DRG Spinal Procedures 1 1 — — $84,459.00 $84,459.00 $84,459.00 2026-03-04
215 MS_DRG Other Heart Assist System Implant 17 10 — — $76,315.72 $192,200.00 $84,348.96 2026-03-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 4 — — $16,494.35 $128,259.00 $83,845.23 2026-03-04
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 1 1 — — $83,826.00 $83,826.00 $83,826.00 2026-03-04
1782 APR_DRG External Heart Assist Systems 6 4 — — $16,670.52 $128,746.00 $83,411.65 2026-03-04
0053 APR_DRG — 5 3 — — $28,734.49 $207,545.00 $83,398.06 2026-03-04
0021 APR_DRG — 5 3 — — $29,967.30 $207,473.00 $83,369.10 2026-03-04
444 APR_DRG Intracranial Hemorrhage 1 1 — — $83,088.00 $83,088.00 $83,088.00 2026-03-04
984 APR_DRG Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 1 1 — — $83,025.00 $83,025.00 $83,025.00 2026-03-04
5244 OTHER Level 4 Blood Product Exchange And Related Services 4 1 — — $71,632.20 $96,093.27 $82,977.28 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 10 — — $74,047.52 $175,081.00 $82,900.57 2026-03-04
4804 APR_DRG Major Male Pelvic Procedures 4 2 — — $35,438.09 $88,191.00 $82,199.48 2026-03-04
224 APR_DRG Ventricular Shunt Procedures 1 1 — — $81,698.00 $81,698.00 $81,698.00 2026-03-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 4 — — $24,512.58 $136,832.00 $81,630.24 2026-03-04
244 APR_DRG Open Extracranial Vascular Procedures 1 1 — — $81,605.00 $81,605.00 $81,605.00 2026-03-04
2614 APR_DRG Major Biliary Tract Procedures 6 4 — — $16,017.48 $132,030.00 $81,572.93 2026-03-04
213 APR_DRG Open Craniotomy Except Trauma 1 1 — — $81,514.00 $81,514.00 $81,514.00 2026-03-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 4 — — $15,472.68 $128,996.00 $81,138.34 2026-03-04
0063 APR_DRG — 5 3 — — $30,475.47 $201,112.00 $80,812.99 2026-03-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 4 — — $20,114.85 $123,195.00 $80,534.82 2026-03-04
0113 APR_DRG — 5 3 — — $67,613.47 $168,263.00 $80,494.01 2026-03-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 4 — — $17,533.35 $129,580.00 $80,230.12 2026-03-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 4 — — $20,405.23 $122,635.00 $80,168.93 2026-03-04
913 APR_DRG Other Major Head And Neck Procedures 1 1 — — $79,914.00 $79,914.00 $79,914.00 2026-03-04
1643 OTHER Y90 Ibritumomab, Rx 4 1 — — $68,824.94 $92,327.39 $79,725.41 2026-03-04
4414 APR_DRG Major Bladder Procedures 6 4 — — $16,732.46 $138,427.00 $79,685.24 2026-03-04
1204 APR_DRG Major Respiratory And Chest Procedures 6 4 — — $17,324.55 $127,583.00 $79,565.54 2026-03-04
250 EAPG Cochlear Device Implantation 1 1 — — $79,459.66 $79,459.66 $79,459.66 2026-03-04
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $79,425.00 $79,425.00 $79,425.00 2026-03-04
1781 APR_DRG External Heart Assist Systems 6 4 — — $15,294.85 $123,586.00 $78,979.91 2026-03-04
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $16,239.27 $143,265.00 $78,854.78 2026-03-04
9273 OTHER Sipuleucel-t Auto Cd54+ 4 1 — — $67,760.82 $90,899.89 $78,492.76 2026-03-04
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $78,140.00 $78,140.00 $78,140.00 2026-03-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $18,178.72 $147,642.00 $78,058.67 2026-03-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 4 — — $15,763.06 $119,068.00 $77,836.88 2026-03-04
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 4 1 — — $66,615.69 $89,363.71 $77,166.26 2026-03-04
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 4 1 — — $66,615.69 $89,363.71 $77,166.26 2026-03-04
3060 EAPG Ventricular Assist Device Procedures 1 1 — — $76,770.07 $76,770.07 $76,770.07 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 10 — — $63,992.82 $156,803.08 $76,471.90 2026-03-04
1814 APR_DRG Lower Extremity Arterial Procedures 6 4 — — $15,003.13 $116,608.00 $76,228.79 2026-03-04
1824 APR_DRG Other Peripheral Vascular And Related Procedures 6 4 — — $12,103.61 $132,338.00 $75,393.33 2026-03-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 4 — — $18,082.81 $130,655.00 $74,923.79 2026-03-04
0084 APR_DRG — 5 3 — — $25,070.38 $186,326.00 $74,871.56 2026-03-04
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 4 — — $14,209.23 $114,746.00 $74,819.76 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 17 10 — — $66,555.22 $167,113.00 $73,561.04 2026-03-04
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 4 — — $13,409.67 $130,505.00 $73,090.95 2026-03-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 4 — — $21,196.13 $116,344.00 $72,249.39 2026-03-04
3094 APR_DRG Other Significant Hip And Femur Surgery 6 4 — — $12,190.19 $113,050.00 $71,913.32 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 10 — — $64,828.04 $153,725.00 $71,652.04 2026-03-04
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $13,804.29 $109,396.00 $71,514.45 2026-03-04
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 6 4 — — $12,288.76 $142,819.00 $71,443.51 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 10 — — $64,628.68 $153,640.00 $71,431.70 2026-03-04
273 APR_DRG Other Open Craniotomy 1 1 — — $71,381.00 $71,381.00 $71,381.00 2026-03-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 4 — — $13,065.67 $108,642.00 $71,021.34 2026-03-04
734 APR_DRG Orbit And Eye Procedures 1 1 — — $70,843.00 $70,843.00 $70,843.00 2026-03-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 4 — — $20,957.36 $135,667.00 $70,598.90 2026-03-04
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $11,226.12 $112,449.00 $70,555.35 2026-03-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 4 — — $22,629.41 $164,329.00 $70,281.68 2026-03-04
1214 APR_DRG Other Respiratory And Chest Procedures 6 4 — — $14,647.48 $108,696.00 $70,236.14 2026-03-04
0062 APR_DRG — 5 3 — — $25,770.37 $174,586.00 $70,154.14 2026-03-04
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 4 — — $14,833.96 $115,207.00 $69,798.43 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 9 — — $64,080.03 $84,814.97 $69,476.24 2026-03-04
4401 APR_DRG Kidney Transplant 6 4 — — $15,543.27 $106,124.00 $69,375.56 2026-03-04
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $69,229.00 $69,229.00 $69,229.00 2026-03-04
0072 APR_DRG — 5 3 — — $25,585.55 $170,577.00 $68,543.06 2026-03-04
893 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $68,519.00 $68,519.00 $68,519.00 2026-03-04
0112 APR_DRG — 5 3 — — $35,814.56 $89,128.00 $68,020.43 2026-03-04
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 4 — — $13,546.88 $104,664.00 $67,896.58 2026-03-04
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 4 — — $14,143.63 $103,684.00 $67,677.65 2026-03-04
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 6 4 — — $15,429.72 $104,238.00 $67,464.15 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 10 — — $60,607.14 $146,236.00 $66,986.84 2026-03-04
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $13,098.64 $117,706.00 $66,021.19 2026-03-04
224 EAPG Level Ii Neurostimulator And Related Device Implantation 1 1 — — $65,826.14 $65,826.14 $65,826.14 2026-03-04
1793 APR_DRG Defibrillator Implants 6 4 — — $15,632.52 $100,724.00 $65,566.03 2026-03-04
0042 APR_DRG — 5 3 — — $23,669.07 $162,995.00 $65,496.57 2026-03-04
4014 APR_DRG Adrenal Procedures 6 4 — — $17,441.10 $107,121.00 $65,469.98 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 10 — — $59,174.09 $140,366.00 $65,402.95 2026-03-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 9 — — $60,175.17 $69,317.97 $65,242.55 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 10 — — $58,925.09 $141,797.00 $65,127.73 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 10 — — $57,268.97 $135,408.00 $64,917.38 2026-03-04
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 1 1 — — $64,684.00 $64,684.00 $64,684.00 2026-03-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $19,034.56 $143,221.00 $64,409.96 2026-03-04
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 4 — — $12,824.91 $98,958.00 $64,016.29 2026-03-04
8633 APR_DRG Neonatal Aftercare 6 4 — — $14,144.63 $99,578.00 $63,988.31 2026-03-04
1142 OTHER Supprelin La Implant 4 1 — — $55,181.98 $74,025.61 $63,921.68 2026-03-04
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 4 — — $13,836.26 $97,782.00 $63,871.31 2026-03-04
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $15,073.06 $97,601.00 $63,803.78 2026-03-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $12,556.83 $97,005.00 $63,414.32 2026-03-04
6504 APR_DRG Splenic Procedures 6 4 — — $13,495.92 $104,760.00 $63,294.88 2026-03-04
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 4 1 — — $54,503.85 $73,115.91 $63,136.15 2026-03-04
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 4 1 — — $54,503.85 $73,115.91 $63,136.15 2026-03-04
0012 APR_DRG — 5 3 — — $23,660.41 $157,095.00 $63,125.79 2026-03-04
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 4 — — $14,044.73 $96,525.00 $63,100.25 2026-03-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $22,277.08 $109,229.00 $62,996.60 2026-03-04
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 4 — — $12,425.96 $95,943.00 $62,720.21 2026-03-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 4 — — $14,920.21 $110,674.00 $62,569.17 2026-03-04
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 4 — — $13,175.57 $103,448.00 $62,480.85 2026-03-04
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 6 4 — — $13,737.02 $111,895.00 $62,382.57 2026-03-04
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $10,691.31 $114,544.00 $62,249.21 2026-03-04
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 6 4 — — $12,605.12 $96,424.00 $62,243.09 2026-03-04
0093 APR_DRG — 5 3 — — $42,399.26 $154,520.00 $62,090.99 2026-03-04
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